Cases brought before the notice of the Pathological Society of London : see Transactions, vol. X / by Dr. John W. Ogle.

  • Ogle, John W. (John William), 1824-1905.
Date:
[1859]
Catalogue details

Licence: Public Domain Mark

Credit: Cases brought before the notice of the Pathological Society of London : see Transactions, vol. X / by Dr. John W. Ogle. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    Cases illustrating Disease of the Central and other parts of the Brain as a result of obstruction to the passage of Blood through the Veins and Sinuses of the Cranium. Case 1.—Fibriaous laminated coagulum partly converted into a greenish-yellow puriform fluid within the cranial sinuses. Ulceration of the dura mater connected with disease of the internal ear following scarlet fever. Abscesses of the brain. Strabismus and facial paralysis following a general spasmodic state of the muscles I of the limbs. Sistory.—The patient was a woman, C. B., set. 22, who was brought into St. George's Hospital with febrile symptoms, albumi- nous urine, leucorrhoea, and sharp pain in the right ear, from which j a considerable discharge was flowing. She had had scarlet fever some years previously, and ever since the attack had been the subject of a discharge from the ear. The pain of which she complained had existed about ten days only. After being in the Hospital about two days she was seized with a violent convulsive attack which left her with the mouth and face drawn to the left side, and convergent strabismus of the right eye. It was not j certain that she had lost consciousness, and on the same day she ! was sitting up and reading in bed. She complained, however, of much pain in the head, and was very restless and uneasy in the region of the chest. About a fortnight after her admission into the Hospital she died. I On post-mortem examination.—Puiiilent fluid was found in the right pleural cavity, and one or two collections of pus in the upper \ part of the right lung, with hepatization of the neighbouring tissue. The spleen was very large, soft, and flabby ; the other abdominal ' organs were natural. On dividing the scalp, much purulent fluid j was found beneath the pericranium covering the right temporal region, and at this part on section of the bones of the cranium a considerable amount of pus was met with in the veins of the j diploe. Pus was also found between the dura mater and the inner ' surface of the cranium at the posterior part of the middle cerebral fossa on the right side, and in one place the dura mater itself was in a softened blackened and sloughy condition, being with facility removable from the bone. This condition corresponded with caries of the bony part entering into the composition of the internal ear. ' h